MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2013-06-04 for CLINITEK STATUS 10332185 manufactured by .
[3550425]
Customer reported that a multistix 10sg dipstick read erroneously as a mutlistix pro 10lb dipstick on the instrument. There was no report of injury for this event.
Patient Sequence No: 1, Text Type: D, B5
[10782736]
The customer has been re-trained for proper sampling technique. Customer has also been offered software that will flag this error.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 1217157-2013-00089 |
MDR Report Key | 3159160 |
Report Source | 07 |
Date Received | 2013-06-04 |
Date of Report | 2013-05-15 |
Date of Event | 2013-05-15 |
Date Mfgr Received | 2013-05-15 |
Date Added to Maude | 2013-06-12 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | STEVE ANDBERG |
Manufacturer Street | 2 EDGEWATER DR. |
Manufacturer City | NORWOOD MA 02062 |
Manufacturer Country | US |
Manufacturer Postal | 02062 |
Manufacturer Phone | 7812693655 |
Manufacturer G1 | SIEMENS SIEMENS HEALTHCARE DIAGNOSTICS MANUFACTURING LTD. |
Manufacturer Street | NORTHERN RD. CHILTON INDUSTRIAL ESTATE |
Manufacturer City | SUDBURY, SUFFOLK MA CO102XQ |
Manufacturer Country | UK |
Manufacturer Postal Code | CO10 2XQ |
Single Use | 0 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | CLINITEK STATUS |
Generic Name | CT STATUS |
Product Code | JIR |
Date Received | 2013-06-04 |
Catalog Number | 10332185 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2013-06-04 |